Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,282.00 / $11,264.70	Facility		$3,633.00	$5,282.00	$11,264.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,921.76 / $4,581.07 / $5,213.02	Professional		$3,921.76	$4,581.07	$5,213.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,740.46 / $4,783.20 / $6,560.15	Professional		$3,740.46	$4,783.20	$6,560.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,537.26 / $5,081.72 / $8,847.66	Professional		$4,537.26	$5,081.72	$8,847.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,735.60 / $5,195.54 / $10,157.04	Professional		$3,735.60	$5,195.54	$10,157.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,741.57 / $4,489.88 / $5,537.90	Professional		$3,741.57	$4,489.88	$5,537.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,151.14 / $5,241.07 / $7,596.59	Facility		$4,151.14	$5,241.07	$7,596.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,660.00 / $5,537.00 / $9,197.16	Professional		$4,660.00	$5,537.00	$9,197.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,463.24 / $4,991.42 / $9,272.66	Facility		$3,463.24	$4,991.42	$9,272.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,463.24 / $4,991.42 / $9,272.66	Professional		$3,463.24	$4,991.42	$9,272.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,307.41 / $4,754.39 / $8,297.45	Professional		$3,307.41	$4,754.39	$8,297.45